Vandenberg, Jean Anne
Vandenberg, Jean Anne is an individual health care provider with primary practice located at 306 Blue Lakes Blvd N , Twin Falls ID 83301-4827. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Vandenberg, Jean Anne can be contacted via phone (208) 734-4053.Contact Information
Primary practice address
306 Blue Lakes Blvd N
Twin Falls ID 83301-4827
Phone: (208) 734-4053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P5008 | Idaho |
Profile Details
| NPI number | 1912190422 |
|---|---|
| LBN Legal business name | Vandenberg, Jean Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Aug 25th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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